Individual provider Active NPI

Erin Whitney Kilgannon Schmidt, DNP CPNP - AC/PC

  • Pediatric Nurse Practitioner
  • Hillsboro, OR
National Provider Identifier
1093296923
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
201807389NP-PP Issued in OR
Practice address
445 E Main St
Hillsboro, OR 97123-4084
Phone
(503) 640-2757
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 201807389NP-PP OR Primary

Addresses

Primary practice location

445 E Main St
Hillsboro, OR 97123-4084

Mailing address

1033 SW Gibbs St Unit 101
Portland, OR 97239-7326
Phone (971) 237-5386

Other practice location 1

6125 NE Cornell Rd Ste 240
Hillsboro, OR 97124-5431
Phone (503) 640-2757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181212001535 OR Practitioner - Nurse Practitioner 3870837255 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201341305RNORMDRegistered Nurse
201807389NP-PPORMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsboro Pediatric Clinic LLC CurrentSince Oct 15, 2018 Accepting new patients

Locations

6125 NE Cornell Rd
Ste 240
Hillsboro, OR 97124
Phone (503) 640-2757

445 E Main St
Hillsboro, OR 97123
Phone (503) 640-2757

445 E Main St
Ste 100
Hillsboro, OR 97123
Phone (503) 640-3147

Interoperability endpoints

  • Direct secure messaging: eschmidt@hpc.ssdirect.aprima.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1093296923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 SW GIBBS ST UNIT 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972397326",
            "telephone_number": "971-237-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234084",
            "telephone_number": "503-640-2757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6125 NE Cornell Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971245431",
            "country_code": "US",
            "telephone_number": "503-640-2757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ERIN",
        "middle_name": "WHITNEY KILGANNON",
        "credential": "DNP CPNP - AC/PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "201807389NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.